Individual
AN THAI LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5623 SANDCASTLE RIDGE DR, KATY, TX 77493-5496
(832) 499-4457
Mailing address
5623 SANDCASTLE RIDGE DR, KATY, TX 77493-5496
(832) 499-4457
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
159463
TX
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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